Feature | June 11, 2008 | Stephan G. Erberich, Ph.D., The Saban Research Institute, Children’s Hospital Los Angeles

SOA Enables Outsourced Imaging

Stephan G. Erberich, Ph.D., The Saban Research Institute, Children’s Hospital Los Angeles

Service-oriented architecture (SOA) offers an opportunity for radiologists to access multiple services off the internet and may be a more economical option for hospitals. While some PACS vendors see it as a threat, others view SOA as an opportunity to offer more services.
A leading advocate for healthcare’s adoption of SOA, Stephan G. Erberich, assistant professor of Research Radiology and Biomedical Engineering, The Saban Research Institute, Children’s Hospital Los Angeles, explains how SOA is breaking up the traditional concepts of what it means to be a PACS.
The SOA provides an opportunity for hospitals to consider the recipe for services needed to be a functional radiology department. There is already decoupling of what is an internal and external service - teleradiology is one example. Many hospitals already use outside radiologists, which is a SOA – looking for outside services and decoupling services into individual ones.
For radiology, SOA changes the way in-house resources have to be looked at, and it creates a huge dependency, as a trade off, on the network environment. Most hospitals usually have a T1 line, but they don’t utilize that as part of their operational component. The concept of SOA can change that paradigm.
Erberich illustrates how SOA-based image processing could work in the clinical setting. Hospitals today have to buy very expensive image processing capacities and the utilization of these resources is usually very limited. In order to utilize that to more efficient levels, it would be better to share this environment for doing the image processing. The problem is that you need to provide this service on the Internet so that it is reachable by several hospitals.
A cardiology reconstruction service for heart rendering could be provided as a service on the Internet. Hospitals would send the data to that service provider and get these images processed and returned. That is more attractive for hospitals because then they only have effective costs. It depends on utilization. It’s very expensive to have high-upfront costs in order to bring this very specialized equipment in, and if there are only a few cases it is hard to justify the usefulness of that functionality. With an SOA that outsources that specific function, you have the benefit of providing the best care to the patient at any facility and you are utilizing the equipment and the cost associated with that equipment, in this case image processing, to the maximum degree. So the advantage of SOA is it defines the standard communication protocol used. In this case, SOA messages, which are services interface definitions, actually provide a standard interface layer even for proprietary hardware.
If you have a fMRI data set and you want to get it processed, you can send the DICOM images out into a shared environment. Grid technology is one of the infrastructures that supports the SOA concept. You send the DICOM into the “grid cloud.” There you will find your service provided by a commercial entity. If you are a subscriber to that service, using those standard protocols in the grid layer, you send your images to get processed and returned to you. This allows you to completely outsource that specific function, and it makes this function available virtually at any institution that creates these types of images.

Related Content

Sponsored Content | Case Study | Information Technology | September 07, 2018
One of the Northeast’s major teaching hospitals is an international leader in virtually every area of medicine. It has...
Mount Sinai Serves as Official Medical Services Provider for 2018 U.S. Open
News | Orthopedic Imaging | September 06, 2018
For the sixth consecutive year, Mount Sinai will serve as the official medical services provider for the 2018 U.S. Open...
Novarad No. 1 in Customer Satisfaction on Gartner Peer Insights VNA Category
News | Vendor Neutral Archive (VNA) | September 04, 2018
Novarad Healthcare Enterprise Imaging has taken the highest rated spot on Gartner’s Peer Insights technology review...
LifeImage LITE Application Expands Image Sharing Network to 1,500 Connected Hospitals
News | Enterprise Imaging | September 04, 2018
September 4, 2018 — LifeImage announced that its recently launched application, LITE, has helped to dramatically incr
Greenville Health System Adopts Agfa HealthCare Enterprise Imaging System
News | Enterprise Imaging | August 31, 2018
Agfa HealthCare and Greenville Health System (GHS), South Carolina, announced the successful implementation of a...
Australian Pediatric Healthcare Network Adopts ResolutionMD Viewer
News | Remote Viewing Systems | August 31, 2018
August 30, 2018 — New South Wales, Australia’s Newborn and...
Visage Signs Mercy for Visage 7 Open Archive
News | Enterprise Imaging | August 09, 2018
Visage Imaging Inc. announced that it has signed a seven-year contract with Mercy, the fifth largest Catholic health...
Konica Minolta Hosting Lunch and Learn at 23rd Annual Mammography Meeting in Santa Fe
News | Breast Imaging | July 31, 2018
Konica Minolta Healthcare Americas Inc. will sponsor a lunch and learn featuring its Exa Mammo platform during the 23rd...
Fujifilm to Host Pediatric Imaging Best Practices Symposium at AHRA 2018
News | Pediatric Imaging | July 18, 2018
Fujifilm Medical Systems U.S.A. Inc. announced that it will offer educational opportunities and exhibit its latest...